After a claim has been filed with Medicare, a healthcare org…
After a claim has been filed with Medicare, a healthcare organization had late charges posted to a patient’s outpatient account that changed the calculation of the APC. What is the best practice for this organization to receive the correct reimbursement from Medicare?
Read DetailsThe decomposition of dinitrogen pentoxide is described by th…
The decomposition of dinitrogen pentoxide is described by the chemical equation 2 N2O5(g) →4 NO2(g) + O2(g) If the rate of appearance of NO2 is equal to 0.560 mol/min at a particular moment, what is the rate of appearance of O2 at that moment?
Read DetailsPart of the coding supervisor’s responsibility is to review…
Part of the coding supervisor’s responsibility is to review accounts that have not been final billed due to errors. One of the accounts on the list is a same-day procedure. Upon review, the coding supervisor notices that the charge code on the bill was hard-coded. The ambulatory procedure coder added the same CPT code to the abstract. How should this error be corrected?
Read DetailsGiven the information here, the case-mix index would be:…
Given the information here, the case-mix index would be: MS-DRG MDC Type MS-DRG Title Weight Discharges Geometric Mean Arithmetic Mean 191 04 MED Chronic obstructive pulmonary disease w CC 0.9184 10 3.3 4.0 192 04 MED Chronic obstructive pulmonary disease w/o CC/MCC 0.7234 20 2.7 3.2 193 04 MED Simple pneumonia & pleurisy w MCC 1.3860 10 4.6 5.7 194 04 MED Simple pneumonia & pleurisy w CC 0.9469 20 3.6 4.3 195 04 MED Simple pneumonia & pleurisy w/o CC/MCC 0.7028 10 2.8 3.3
Read DetailsA small critical care access hospital affiliated with Commun…
A small critical care access hospital affiliated with Community Hospital has four physicians on staff. Community Hospital Physician Profile April–June 20XX Physician No. No. of Discharges No. of Infections Hospital-Acquired Infection Rate 1 29 6 2 20 2 3 11 2 4 14 1 The medical staff at Community Hospital has determined that the hospital-acquired infection rate by physician should be 10 percent or lower. Using the information above, calculate the hospital-acquired infection rate for each physician, and then determine which of the following physicians did not meet the goal of a hospital-acquired infection rate of 10 percent or lower.
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